APPLICATION TO USE THE PUBLIC RIGHT OF WAY
APPLICANT INFORMATION
LEGAL NAME OF ENTITY: FRC Kinzie Jefferson, LLC_
PERMIT MAILING ADDRESS: 222 s. Riverside Plaza, ste. 600_
CITY: Chicago_STATE: Illinois_ ZIP: 60606_
CONTACT PERSON: Martin Walz_TITLE: Director of Construction
PROPERTY OWNER INFORAAATION
NAME: FRC Kinzie Jefferson, LLC
ADDRESS: 222 s- Riverside Plaza, Ste. 600 , , ■
CITY: Chicago_'_STATE: Illinois_ZIP: 60606__
USE OF THE PUBLIC WAY
1. List the proposed or existing use(s) below, and complete the worksheet on page 3. Use only one application for all public way use type.
TYPE „ HOW MANY? J3UILDING ADDRESS
Caisson Bell 6 365 N. Halsted (Kinzie Streetl
2. Please enclose one sketch of proposed use of the public way, which maps to scale the proposed use and its relationship to surrounding right-of-way. All measurements must be indicated.
3. All "No Fee" items require a $50 application fee. Please remit with application.
4. "No Fee" items are listed in the price list on page 4. .
5. The prints should also accurately depict the location of the property line and public facilities (meters, light poles, sidewalks).
APPLICANT CERTIFICATION
I hereby certify that all statements made as part of the application, and the attachments herein, are trueto Jfie besfaf my knowledge and belief.
BY: C_^ W-^.V,__/ TITLE: Agent
F.E.I.N. or SOCIAL SECURITY NUMBER: 36-452i54s
ALDERMAN'S APPROVAL.
As part of this application process, you are required to notify/obtain approval from the Alderman in whose ward your proposedjuse,of the public way is located.
ALDERMAN'S^SIGNATURE: VJQJtM j^^H^^ ^r
H I C A G O
U5INE5S AFFAIRS ONSUMU ntoitciroi
City of Chicago | Department of Business Affairs and Consumer Protection | Public Way Use Unit Business Assistance Center | City Hall, Room 800 | 121 North LaSalle Street | Chicago, Illinois 60602 » www.cityofchicago.org/bacp | 312.74.GOBIZ (744.6249) | 312.742.1974 (TTY)
ORDINANCE
FRC KINZIE JEFFERSON, LLC Acct. No. 359947 -1 Permit No. 1095262
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Permission and authority are hereby given and granted to FRC KINZIE JEFFERSON, LLC, upon the terms and subject to the conditions of this ordinance to construct, install, maintain and use six (6) Caisson(s) under the public right-of-way adjacent to its premises known as 365 N. Halsted St
Said Caisson(s) at W Kinzie St measure(s):
Six (6) at six (6) feet in length, and three (3) feet in width for a total of one hundred eight (108) square feet.
The location of said privilege shall be as shown on prints kept on file with the Department of Business Affairs and Consumer Protection and the Office of the City Clerk.
Said privilege shall be constructed in accordance with plans and specifications approved by the Department of Planning and Development and Department of Transportation (Office of Underground Coordination).
This grant of privilege in the public way shall be subject to the provisions of Section 10-28-015 and all other required provisions of the Municipal Code of Chicago.
The grantee shall pay to the City of Chicago as compensation for the privilege #1095262 herein granted the sum of four hundred ($400.00) per annum in advance.
A 25% penalty will be added for payments received after due date. '
The permit holder agrees to hold the City of Chicago harmless for any damage, relocation or replacement costs ^ associated with damage, relocation or removal of private property caused by the City performing work in the public way.
Authority herein given and granted for a period of five (5) years from and after Date of Passage.
Alderman
J
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